UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
FORM 4
Symons International Group, Inc.
STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP:
( ) Check this box if no longer subject to Section 16.
Form 4 or Form 5 obligations may continue. See Instructions 1 (b).
1. Name and Address of Reporting
Symons, Alan Gerald
4404 N. Meridian Street
Indianapolis, Indiana 46208
USA
2. Issuer Name and Ticker or Trading Symbol
Symons International Group, Inc.
SIGC
3. IRS or Social Security Number of Reporting Person (Voluntary)
###-##-####
4. Statement for Month/Year
9/00
5. If Amendment, Date of Original (Month/Year)
6. Relationship of Reporting Person (s) to Issuer (Check all applicable)
(X) Director ( ) 10% Owner (X) Officer (give title below) ( ) Other
(Specify Below)
Vice Chairman
7. Individual or Joint/Group Filing (Check Applicable Line)
(X) Form filed by One Reporting Person
( ) Form filed by More than One Reporting Person
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Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
<S> <C> <C> <C> <C>
1. Title of 2. 4. Securities acquired (A) or 5. Amount of Securities 6. Direct 7. Nature of
Security 3. Disposed of (D) Benefically Owned at End of (D) or Indirect
Transactions Month Indirect (I) Beneficial
Ownership
Date Code V Amount A/D Price
Common 9/1/00 P 100 A .875
72,691 D
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<TABLE>
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Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned
<S> <C> <C> <C> <C> <C> <C> <C> <C>
1. Title 2. Conversion 3. 4. 5. Number of Derivative 6. Date Exercisable 7.Title and Amount 8. Price 9. Number of
of Security of Exercise Transaction Securities Acquired and Expiration of Underlying of Derivative
Price of (A) or Disposed (D) Date (Month/Day/ Securities Derivative Securities
Derivative Year) Security Benefically
Owned at
End of Month
Date Code V Amount A/D Date Expiration Title and Number
Exercis. on Date of Shares
-------------------------------
Alan G. Symons
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